Welcome to the A-Line Staffing Solutions Covid-19 Symptom Screening Questionnaire Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, felt "feverish" or had a temperature that is elevated for you/100.4F or greater?*YesNoDo you have any of the following symptoms?*• Cough • Shortness of breath or difficulty breathing • Fatigue • Muscle or body aches • Headache • New loss of taste or smell • Sore throat • Congestion or runny nose • Nausea or vomiting • DiarrheaYesNoHave you traveled internationally or outside of state in the last 14 days? Or, have you had any close contact in the last 14 days with someone with a diagnosis of COVID-19?*YesNoHave you had contact with someone who has been exposed to covid?*YesNoPlease enter your name below:* First Last PhoneThis field is for validation purposes and should be left unchanged.